Epistaxis in children with allergic rhinitis: Clinical features and risk factors depending on the allergen profile.

Autor:	Hachicha A; Department of Otorhinolaryngology and cervico-facial surgery, Hospital of the Internal Security Forces La Marsa, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia., Chouchane H; Department of Otorhinolaryngology and cervico-facial surgery, Hospital of the Internal Security Forces La Marsa, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia., Boussafa H; Department of Otorhinolaryngology and cervico-facial surgery, Hospital of the Internal Security Forces La Marsa, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia., Turki S; Department of Otorhinolaryngology and cervico-facial surgery, Hospital of the Internal Security Forces La Marsa, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia., Yangui F; Pneumology Department, Hospital of the Internal Security Forces La Marsa, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia., Charfi R; Pneumology Department, Hospital of the Internal Security Forces La Marsa, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.
Jazyk:	francouzština
Zdroj:	La Tunisie medicale [Tunis Med] 2024 Nov 05; Vol. 102 (11), pp. 927-932. Date of Electronic Publication: 2024 Nov 05.
DOI:	10.62438/tunismed.v102i11.5129
Abstrakt:	Introduction: Epistaxis in children is a very common reason for consultation in ENT and pediatric emergencies. Most of these epistaxis are benign, but it is their recurrence that motivates anxious parents, to consult. Allergic rhinitis is a common pathology among children in Tunisia, it seemed interesting to us to study the association between allergic rhinitis and epistaxis. Aim: Identify the clinical features and the risk factors for epistaxis in children with allergic rhinitis. Methods: Retrospective descriptive cohort study over a period of 4 years, including children, who consulted for epistaxis at the ENT and CCF department of FSI Hospital, La Marsa Tunis. All cases were divided into 2 groups: ERA+ Group: epistaxis with allergic rhinitis versus ERA- Group: epistaxis without allergic rhinitis. Results: 79 children were included, including 21 (26.6%) meeting the diagnostic criteria for allergic rhinitis. A female predominance was noted in the ERA+ group. In the ERA+ group, epistaxis mainly occurred in summer and autumn (38% and 28%) while it predominated in winter and summer in the ERA- group. Rhinorrhea and nasal pruritus were factors significantly associated with epistaxis in children with allergic rhinitis. Conclusion: the ENT doctor must think about allergic rhinitis in case of Repetitive epistaxis in a child, and look for suggestive symptoms, particularly rhinorrhea and nasal prurit.
Databáze:	MEDLINE
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